Gastric Bypass Surgery – Roux En Y Gastric Bypass

Possible Complications

• Cardiovascular problems (especially with unidentified pre-existing heart disease): heart attack, stroke or death
• Respiratory problems: pneumonia, pulmonary embolus
• Wound problems: wound infection(<5%), hernia development (1% for laparoscopic)
• Circulation: problems includes blood clots in legs and blood clots migrating to lungs
• Stomach/intestinal problems: leak from stomach or intestinal surgical sites requiring additional surgery, intestinal blockage (1-2%), stoma stenosis from scarring (10%), dumping syndrome (cramping bloating, diarrhoea after eating)
• Nutritional problems: excessive weight loss, vitamin and mineral deficiencies (may need ongoing medications or injections), hair loss, bone weakening, gallstones or kidney stones
• Injury to nearby organs: spleen requiring splenectomy (<1%), significant liver-bleeding (<1%), or potential for transfusions (<5%)
• Numerous other less-common complications
• Death can occur: for laparoscopic gastric bypass (0.5 – 1%)

Mini Gastric Bypass (MGB) or Omega Loop Surgery

Mini Gastric Bypass surgery and it’s procedure.

Mini Gastric Bypass Surgery offers a minimally invasive approach for individuals seeking substantial and sustainable weight loss. This procedure involves resizing the stomach and redirecting a portion of the intestines, facilitating effective weight management.

Preoperative Evaluation:

• Patient Selection:
• Patients who meet the BMI criteria and have comorbidities like type 2 diabetes, hypertension, and sleep apnea.

Preoperative Assessment:

• Detailed evaluation, including medical history, physical examination, nutritional assessment, and psychological review to gauge surgical readiness and potential risks.
  Educational Counseling: In-depth information on the procedure, anticipated results, possible risks, and necessary post-operative lifestyle adjustments.

Surgical Procedure:

Mini gastric bypass surgery involves creating a small stomach pouch and bypassing a portion of the small intestine. During the procedure, the surgeon creates a small gastric pouch (~30 ml) using a linear stapler, typically along the lesser curve of the stomach, while preserving the blood supply to the remnant stomach.

Post-operative Care:

Monitoring:

Regularly monitor vital signs and watch for complications like bleeding, leaks, or thromboembolism.

Pain Management:

A multimodal approach to manage postoperative pain, minimize opioid use, and facilitate early mobilization.

Fluids and Nutrition:

Fluid and nutrition intake are to be initiated according to protocol, progressing from clear liquids to pureed and solid foods gradually.

Follow-up:

Plan regular follow-up appointments to track weight loss, and nutritional status, and address any concerns or complications.

Long-term Management:

Nutritional Supplementation:

Lifelong vitamin and mineral supplements, including vitamin B12, iron, calcium, and vitamin D, to prevent deficiencies.

Lifestyle Counseling:

Ongoing guidance on dietary adjustments, exercise, and behavior modification to support sustained weight loss.

Monitoring and Surveillance:

Monitor weight loss progress, and comorbidity resolution, and manage long-term complications like reflux, dumping syndrome, or malnutrition.

Advantages of Mini Gastric Bypass

Mini gastric bypass surgery merges the advantages of traditional gastric bypass with a simpler surgical process, reducing complications and recovery time. Apart from promoting significant weight loss, this surgery can address obesity-related conditions like type 2 diabetes, hypertension, and sleep apnea. Patients often experience rapid initial weight reduction and enduring long-term outcomes.
Our proficient medical team at Perth Surgical Bariatrics delivers comprehensive pre-and post-operative care, ensuring constant support throughout the journey.